Study links Parkinson's disease to gut bacteria
Date: Dec-12-2014 A new study finds that compared to healthy controls, people with Parkinson's disease
appear to have distinctly different gut bacteria. They have hardly any bacteria from one
family and the amount present from another family seems to increase with disease
severity.
The gut bacteria of people with Parkinson's disease is different to that of healthy people.
The study, led by the University of Helsinki Institute of Biotechnology in Finland, is
published in the journal Movement Disorders.
It involved 72 patients with
Parkinson's disease and an equal number of matched, healthy controls.
More and more studies are discovering the huge influence that our gut bacteria - which
vastly outnumber the cells of our body - have on our health: when they get sick, we get
sick.
Parkinson's disease is a progressive motor disorder that develops when the brain loses
cells that produce dopamine - a chemical that controls reward and pleasure and also regulates
movement and emotional responses.
Parkinson's symptoms include trembling, stiffness, slowness of movement and problems with
balance and coordination.
The disease rarely strikes before the age of 50 and gradually gets worse -
to the point where everyday life and self-care becomes very difficult.
According to the National Parkinson's Foundation, up to 60,000 new cases of Parkinson's
are diagnosed each year in the US, adding to the 1 million Americans who currently live
with the condition.
Some clues already exist about the links between Parkinson's and gut problems. For
example, as the study authors say in their paper, "gastrointestinal dysfunction, in
particular constipation, is an important non-motor symptom" in Parkinson's disease, and
"often precedes the onset of motor symptoms by years."
They also mention that recent research shows gut bacteria interact with parts of the
nervous system via various pathways, including the enteric nervous system - the so-called
"brain in the gut" - and the vagal nerve.
Highlighting their findings, lead author of the new study, Dr. Filip Scheperjans, a
neurologist in the Neurology Clinic of Helsinki University Hospital, says:
"Our most important observation was that patients with Parkinson's have much less bacteria
from the Prevotellaceae family; unlike the control group, practically no one in the
patient group had a large quantity of bacteria from this family."
The team did not find out what an absence of Prevotellaceae might mean in
Parkinson's disease. But they have many questions. For example, does this family
of bacteria protect against the disease? Or does the disease wipe them out?
"It's an interesting question which we are trying to answer," says Dr. Sheperjans.
Knowing about gut bacteria could help improve prognosis and treatment in Parkinson's
The team also found that levels of another family of bacteria called
Enterobacteriaceae appear to be linked to severity of Parkinson's symptoms. They
observed patients who had more difficulty with balance and walking tended to have higher
levels of these bacteria.
Dr. Sheperjans and his colleagues are already planning further research to explore the
connection between Parkinson's disease and gut bacteria.
They have begun to re-examine the same group of patients to find out if the differences in
gut bacteria are permanent or whether they change as the disease progresses. If they do
change with disease progression, this could help doctors give more accurate prognoses.
"In addition," Dr. Sheperjans says, "we will have to see if these changes in the bacterial
ecosystem are apparent before the onset of motor symptoms."
And, he adds, they also want to discover the underlying biological mechanism between gut
bacteria and Parkinson's disease.
They hope eventually that their findings will lead to new tests for Parkinson's and
perhaps even new treatments to stop, slow or even prevent the disease by focusing on gut
bacteria.
Funds from the Michael J. Fox Foundation for Parkinson's Research and the Finnish
Parkinson Foundation helped finance the study.
In November 2014, Medical News Today learned of a stem cell treatment breakthrough for Parkinson's disease. A study
involving laboratory rats suggests it may be possible to replace dopamine cells lost to
Parkinson's disease by making them from embryonic stem cells and then transplanting them into
the brain.
Written by Catharine Paddock PhD
Not to be reproduced without permission.
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Courtesy: Medical News Today
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